Sutphen, Eric

Sutphen, Eric is an individual health care provider with primary practice located at 450 N New Ballas Rd Ste 70W , Saint Louis MO 63141-6833. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Sutphen, Eric can be contacted via phone (314) 227-2301.

Contact Information

Primary practice address
450 N New Ballas Rd Ste 70W Saint Louis MO 63141-6833
Phone: (314) 227-2301
Fax: (314) 227-2316
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X R2P24 Missouri

Profile Details

NPI number 1932170859
LBN Legal business name Sutphen, Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Jan 16th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932170859 NPPES
Missouri MEDICAID 203032628
Missouri Other P00146606

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